Abstract

THE CHARACTERISTICS of a newly recognized halophilic Vibrio were described by Hollis et al in 1976. 1 This organism was initially referred to as a lactose-positive Vibrio , but it has subsequently been given the name Vibrio (Beneckea) vulnificus . 2 Several cases of V vulnificus infection have been reported, 3,4 and Blake et al 5 have summarized the clinical features of these infections. Vibrio vulnificus infections may be manifested as localized infections of wounds exposed to seawater or as bacteremic infections possibly related to consumption of seafood. The latter infections often develop in patients with preexisting chronic liver disease, and they have a high mortality. Many of these patients also experience vesicular or bullous lesions on the extremities 24 to 72 hours after the onset of bacteremia. We describe a fatal case of primary septicemia caused by V vulnificus in a previously healthy man with frequent exposure to the sea. We

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